Autumn Victoria Wallace
Autumn Victoria Wallace is a Behavior Technician in Gonzales, Louisiana. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1028 E Worthy StGonzales, LA 70737-4367
Phone: (504) 399-9851
Fax: (985) 261-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1770148587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 7, 2019 |
| Last updated in NPPES | May 7, 2019 |
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